“What is it, what does it do and what are best practices?”, I wondered when I heard that I was the designated jury member to chair the digital marketing session...

Latest tweets about this

EliRingerSunday 18, May 2014 06:39 AM

@Eli Ringer: Uniliever, UPS and BT - how do they use sustainability to create new business models...?

sengarvikasSunday 18, May 2014 01:47 PM

RT @TCS_News: Hear Geert-Jan Van Der Zanden on new services and business models for the power sector being disrupted by new technologies. #…

skap5Sunday 18, May 2014 01:51 PM

.@KatieCW Indeed. Government leaders should be exploring new citizen-centered business models to transform communities.

New business models in healthcare

The Unequal and Unfair Healthcare Business ‘Model’

In no way do I claim to be an expert on business or even the healthcare system, but the more experience I get with the U.S. healthcare business model the more I realize there simply is no business model. We can all agree the system is broken. There is no shortage of statistics or personal anecdotes supporting that statement. The more you dig though, the more you realize just how crazy it is.

How is it that two hospitals in the same city receive different payments for the same procedure? The difference in cost is in no way tied to quality or convenience like one would expect outside of the healthcare bubble. If one digs long enough, at best you find a jumbled, nonsensical list of criteria that the Centers for Medicare and Medicaid Services (CMS) “take into account” when deciding reimbursement rates.

Private insurance companies develop individual contracts with hospitals. Call me crazy, but I doubt that there is any reason an arthroscopy costs 0 more if the patient is insured by United Healthcare instead of Aetna. Costs for some procedures can vary 10 times or more from hospital to hospital. From a billing and reimbursement standpoint, this sounds like nothing short of a nightmare.

Each hospital easily has hundreds of contracts with different payment schedules, and insurance companies are dealing with an astronomical number of providers and procedures. No wonder administrative healthcare costs are so expensive in the U.S! Data on private insurers is very difficult to find as the contracts are not made public, and hospitals tend to guard their billing data closely. Below is a small sample of data of payments from a single private insurer to various NJ hospitals from the New Jersey Commission for Rationalizing Health Care Resources.

To make matters worse, Medicare/Medicaid payments often do not cover the hospitals cost, so private insurers are over-billed to reconcile the losses. Individuals who are not insured are sometimes given lower rates depending on their financial situation, but at times pay more than the private insurer rates because they do not have bargaining power.

Source: www.hl7standards.com

I think they are still sore from the last try

by maestro78

The Apple Pippin was a multimedia platform marketed by Apple Inc. (then Apple Computer Inc.) in the mid 1990s. It was based around a 66-MHz PowerPC 603 processor, a 14.4 kbit/s modem and ran a stripped version of the System 7.5.2. The goal was to create an inexpensive computer aimed mostly at playing CD-based multimedia titles, especially games, but also functioning as a network computer. It featured a 4× CD-ROM drive and a video output that could connect to a standard television monitor. The platform was named for the Newtown Pippin, an apple cultivar, related to the McIntosh apple (which Apple had to spell Macintosh in order to avoid infringement)

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